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||Tally, Z., Boetefuer, L., Kauk, C., Perez, G., Schrand, L., & Hoder, J. (2017). The efficacy of treadmill training on balance dysfunction in individuals with chronic stroke: A systematic review. Topics in Stroke Rehabilitation, 24(7), 539-546.
||Ambulation, equilibrium, living facilities, mobility training, posture, rehabilitation technology, stroke
||This literature review determined the effect of treadmill training (TT) interventions on balance dysfunction in individuals with chronic stroke. A systematic literature search of PubMed, EMBASE, and CINAHL was performed to identify eligible randomized controlled trials published between 2007 and 2016. Selected trials investigated TT interventions in people with chronic stroke and implemented at least one objective balance measure. Methodological quality was assessed using PEDro criteria. Eight studies met eligibility criteria and were included in the qualitative analysis. Studies differed in TT implementation and use of adjunctive treatments; however, all trials demonstrated improvements in balance measures that were as effective, if not more so, than conventional physical therapy treatments, including targeted balance training. This review recognized moderate evidence in favor of TT interventions in balance and stroke rehabilitation programs. With TT, intensity may be a more critical factor than specificity and may offer additional carryover to recovery parameters of postural control and balance, beyond gait performance. It is recommended that clinicians utilizing TT incorporate objective measures of balance to assess the potential for skill transference and improvements in balance. Higher quality studies and additional research are needed to denote critical parameters by which improvements in balance may be optimized.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/28687056|